| Genderlab | |
|
2043 California 2 Wrightwood CA 92397-3274 | |
| (310) 606-1905 | |
| Not Available |
| Full Name | Genderlab |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2043 California 2, Wrightwood, California |
| Authorized Official Name and Position | James Jasper Grimm (CEO) |
| Authorized Official Contact | 3106061905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genderlab Po Box 3274 Wrightwood CA 92397-3274 Ph: (310) 606-1905 | Genderlab 2043 California 2 Wrightwood CA 92397-3274 Ph: (310) 606-1905 |
| NPI Number | 1104589738 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104589738 | NPI | - | NPPES |
Meaghan Martin Licensed Clinicial Social Worker Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5634 Dogwood Rd, Wrightwood, CA 92397 Phone: 760-981-9533 |